A patient receiving peritoneal dialysis has cloudy drainage, abdominal pain, and a fever. Which action should the nurse take first?
Correct answer: B. Report suspected peritonitis promptly to the health-care provider
- A. Slow the next exchange and reassess the drainage
- B. Report suspected peritonitis promptly to the health-care provider
- C. Encourage the patient to walk to improve drainage
- D. Add extra fluid to the next dialysis exchange
Explanation
Cloudy dialysate with abdominal pain and fever strongly suggests peritonitis, a serious complication of peritoneal dialysis. Prompt reporting allows cultures and antimicrobial treatment to be arranged. Walking or changing the fluid volume does not treat the infection.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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